基于奥马哈系统的延续性护理在泌尿系结石术后留置双J管患者中的应用

Application of Continuous Nursing Based on Omaha System for Patients with Indwelling Double J Tube after Urinary Calculi Surgery

目的:探讨基于奥马哈系统的延续性护理在泌尿系结石术后留置双J管患者中的应用效果。方法:将2021年1—6月广东药科大学附属第一医院收治的80例首次留置双J管患者随机分为对照组和观察组,各40例。对照组接受传统护理,观察组在对照组基础上接受基于奥马哈系统的延续性护理模式。比较两组护理结局、并发症发生情况及自我护理能力水平。结果:护理前,两组护理结局、自我护理能力量表(exercise of self-care agency,ESCA)评分比较,差异均无统计学意义(P>0.05);护理后,两组认知评分、行为评分、状况评分、健康知识水平评分、自我护理责任感评分、自我概念评分、自我护理技能评分均高于护理前,且观察组均高于对照组,差异均有统计学意义(P<0.05)。观察组并发症发生率低于对照组,差异有统计学意义(P<0.05)。结论:基于奥马哈系统的延续性护理应用于泌尿系结石术后留置双J管患者能改善护理结局,降低并发症发生率,提升自我护理能力。

Objective:To investigated the application effect of continuous nursing based on Omaha system for patients with indwelling double J tube after urinary calculi surgery.Method:A total of 80 patients who underwent the first indwelling double J tube the First Affiliated Hospital of Guangdong Pharmaceutical University from January to June 2021 were randomly divided into the control group and the observation group,40 cases in each group.The control group was given traditional nursing,the observation group was given the continuous nursing based on Omaha system.The nursing outcomes,incidence of complications and level of self-care ability of two groups were compared.Result:Before nursing,there were no significant differences in the nursing outcomes and the score of the exercise of selfcare agency(ESCA)between the two groups(P>0.05);after nursing,the cognitive score,behavior score,condition score,health knowledge level score,self-care responsibility rating score,self-concept score and self-care skill score of two groups were higher than those before nursing,the observation group were higher than those in the control group,the differences were statistically significant(P<0.05).The incidence of complications in the observation group was lower than that in the control group,the difference was statistically significant(P<0.05).Conclusion:The application of continuous nursing based on Omaha system for patients with indwelling double J tube after urinary calculi surgery can improving the nursing outcomes,reducing the incidence of complications,and improving the self-care ability.